Clause-Rakis, Mary Marjorie
Clause-Rakis, Mary Marjorie is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Clause-Rakis, Mary Marjorie can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
700 Ne 87Th Ave
Vancouver WA 98664-1913
Phone: (360) 882-2778
Fax: (360) 604-1697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA22105 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA22105 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60750622 | Washington |
Profile Details
| NPI number | 1215209259 |
|---|---|
| LBN Legal business name | Clause-Rakis, Mary Marjorie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2012 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215209259 | NPPES |
| California | Other | 270096920 | TAX ID |
| California | MEDICAID | 2080748 | TAX ID |
| California | MEDICAID | GR0102820 | TAX ID |
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